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Individual

JULIA JARRARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
4811 HARDWARE DR NE, E-1, ALBUQUERQUE, NM 87109-2017
(505) 268-5933
(505) 268-0184
Mailing address
4811 HARDWARE DR NE, E-1, ALBUQUERQUE, NM 87109-2017
(505) 268-5933
(505) 268-0184

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5244
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D0939
NM
Enumeration date
11/06/2012
Last updated
11/06/2012
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